| NPI | 1861702698 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | NANCY ARDELLE WHITAKER Administrator 817-561-2020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |